Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cannon Psychological LLC

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1134976061

Cannon Psychological LLC is an Adolescent and Children Mental Health Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12058 San Jose Blvd Ste 202
Jacksonville, FL 32223-8669
Phone: (043) 738-2999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X

Record details

NPI number1134976061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brittany Cannon — Psychologist/Owner · (352) 339-6751
Other names Cannon Psychological Services
NPI enumeratedApril 30, 2024
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024
Mailing address3075 Orange Picker Rd, Jacksonville, FL 32223-0882

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